22 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... History and Exam Acute ... life-threatening causes ... Pneumothorax • Pulmonary ... : • EKG • Bedside
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... : Differential diagnosis ... aVR • Classic EKG ... #AVR #leadAVR #ecg ... #ekg #differential
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
(Ischemia) - Acute ... Septic Embolism (e.g ... Fat Embolism (e.g ... Mycotic Aneurysm (e.g ... #Orthopedics #Causes
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
Diffuse Acute Abdominal ... Pain (<72 hours ... ) - Differential ... : R/O cardiac, pulmonary ... Metabolic disease (e.g
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
- Malignancy (e.g ... pathology (e.g. ... SSRIs) Severe pain ... #Diagnosis #Table ... #Causes #Sodium
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... deviation) • Acute ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Inflammatory Joint Pain ... • Reactive (e.g ... Enteropathic (e.g ... Enteropathic (e.g ... #Orthopedics #Causes
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Elevation - Differential ... Diagnosis Framework ... QRS complex Pulmonary ... #ecg #ekg #electrocardiogram
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Arthritis: • Acute ... #MSK #rheumatology ... #approach #workup ... #differential # ... diagnosis #arthritis
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Acidosis - Differential ... by excretion (e.g ... its metabolism (e.g ... pulmonary edema ... Diagnosis #causes